Basic Information
| Provider Information | |||||||||
| NPI: | 1457582447 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEHR | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | JOHN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 W 10TH ST | ||||||||
| Address2: | |||||||||
| City: | MARCUS HOOK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190614513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108598850 | ||||||||
| FaxNumber: | 6108597876 | ||||||||
| Practice Location | |||||||||
| Address1: | 4301 PENN AVE | ||||||||
| Address2: | |||||||||
| City: | SINKING SPRING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196081370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6109274136 | ||||||||
| FaxNumber: | 6109274139 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2009 | ||||||||
| LastUpdateDate: | 10/08/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT020139 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2251G0304X | PT020139 | PA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics | 2251S0007X | PT020139 | PA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | 2251X0800X | PT020139 | PA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
ID Information
| ID | Type | State | Issuer | Description | 2506357 | 01 | PA | PA BLUE SHIELD | OTHER | 2506357 | 01 | PA | FREEDOM BLUE | OTHER | P00885361 | 01 | PA | RAILROAD MEDICARE | OTHER | 1457582447 | 01 | PA | BERKSHIRE | OTHER | 50105170 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 102468655-0001 | 05 | PA | MEDICAID | 12453797 | 01 | PA | COVENTRY/HEALTH AMERICA | OTHER | 1457582447 | 01 | PA | BRAVO | OTHER | 306171 | 01 | UNISON | OTHER | 30079107 | 01 | PA | KEYSTONE MERCY | OTHER | 3782801000 | 01 | PA | INDEPENDENCE BLUE CROSS | OTHER |